Individual
ADAM DANIEL COMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
355 W 16TH ST STE 3200, INDIANAPOLIS, IN 46202-2280
(317) 948-5450
(317) 962-2141
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01076450A
IN
207R00000X
Internal Medicine Physician
11016688
IN
2084N0400X
Neurology Physician
Primary
01076450A
IN
2084N0600X
Clinical Neurophysiology Physician
01076450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001107727
ANTHEM PTAN
IN
05
—
201111320
—
IN
Enumeration date
07/11/2012
Last updated
03/06/2025
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